Jason Rudolph, PSY.D.
NPI 1174404016 · Clinical Psychologist · Wainscott, NY
Jason Rudolph, PSY.D. is a Clinical Psychologist provider in Wainscott, NY (NPI 1174404016).
Provider details
- NPI number
- 1174404016
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35868 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-09
- Last updated
- 2025-09-09
- Certified
- 2025-08-27
Frequently asked questions
- What is Jason Rudolph's NPI number?
- Jason Rudolph's National Provider Identifier (NPI) is 1174404016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jason Rudolph's specialty?
- Jason Rudolph is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jason Rudolph located?
- Jason Rudolph's practice location on file with NPPES is 48 South Breeze Drive, Wainscott, NY 11975.
- What is Jason Rudolph's phone number?
- The practice phone number listed in the NPPES registry for Jason Rudolph is (917) 750-8400.
- Is Jason Rudolph's NPI active?
- Yes — Jason Rudolph's NPI (1174404016) is active in the NPPES registry as of the last update on 2025-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.